浙江省常山县居民伤害流行状况调查

Investigation on prevalence of injury among residents in Changshan county in Zhejiang

目的了解浙江省常山县居民伤害流行状况及其分布特征,为制定伤害预防控制措施提供依据。方法采用多阶段整群随机抽样的方法,随机抽取常山县6个行政村共计1 200户家庭,并统一采用自制的调查问卷对2017年6月1日—2018年5月31日期间伤害发生情况进行回顾性调查。结果本次共计调查2 745人,其中男性1 438人(52.39%),女性1 307人(47.61%),男女性别比为1.10∶1。浙江省常山县居民伤害发生率5.98%,其中男性高于女性(χ~2=5.406,P<0.05),死亡率15.18/10万。前3位伤害发生率分别是跌伤/坠落伤(2.05%)、交通伤(1.43%)和刀伤/锐器伤(1.29%)。各年龄段伤害发生率不同,其中以≥60岁年龄组最高(10.95%),5~15岁年龄组最低(3.51%)。受伤部位前3位分别为上肢(30.80%)、下肢(26.79%)和躯干(20.09%)。因伤害所致人均休息天数为56.02天,活动受限天数为64.43天,医疗费用为6 385.03元。结论浙江省常山县居民伤害发生率较高,因伤害所致经济和社会负担较大,应尽快制定有针对性的预防控制措施。

Objective To understand the prevalence and distribution of injury among residents in Changshan and provide the basis for formulating injury prevention and control measures.Methods A total of 1 200 families were randomly selected from 6 administrative villages by means of multi-stage cluster random sampling,and the incidence of injuries from June 1,2017 to May 31,2018 was retrospectively investigated by using self-made questionnaires.Results A total of 2 745 people were surveyed,including 1 438 males(52.39%)and 1 307 females(47.61%).The sex ratio of males to females was 1.10:1.The incidence of injury in Changshan was 5.98%,of which men was higher than that of women(χ~2=5.406,P<0.05),and the mortality rate was 15.18/100 000.The top three injury incidence were fall(2.05%),traffic(1.43%)and knife/sharp instrument injury(1.29%).The incidences of injury were different among different age groups,among which the highest(10.95%)was in the age group aged≥60 years old,and the lowest(3.51%)was in the age group aged 5-15 years old.The top three injured sites were upper limbs(30.80%),lower limbs(26.79%)and trunk(20.09%).The average number of rest days,days with limited activities and medical expenses due to injury were 56.02 days,64.43 days and 6 385.03 yuan respectively.Conclusion The incidence of injury of residents in Changshan is relatively high,and the economic and disease burden caused by injury is relatively large.Therefore,targeted preventive and control measures should be formulated as soon as possible.